Facility Evaluation Report

On September 15, 2025, at 12:30 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with House Manager (HM) Norma Penano. A phone call was made to Administrator (AD) Lilian Salmorin and LPA Kim explained the purpose of the visit. AD Salmorin stated they could not be present during the visit and said that HM Penano could sign in behalf of the facility.

The facility is licensed to operate for six (6) ambulatory clients. The facility is a one-story structure with a second story loft located in a residential neighborhood. It consists of the following: three (3) client bedrooms, two (2) staff bedrooms, two (2) bathrooms, living area, dining area, kitchen, second story loft, and outside covered patio area.

LPA Kim toured inside and outside of the physical plant with HM Penano. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Client’s rooms were inspected: Client Room 1, Client Room 2, Client Room 3, and Staff room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 110.3 degrees F. A comfortable temperature of 77 degrees F was maintained in the facility.